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目的总结“6·5”事件严重烧伤住院患者的成分血输注情况,为指导临床科学、合理用血提供依据。方法对本院紧急收治的“6·5”事件烧伤患者中的18名严重者,在2009年6月5日—7月13日期间的成分血输注做回顾性分析。结果39d的急救期间,18名严重烧伤患者共输注红细胞悬液298U,平均(16.56±8.36)U/人(最少用量1U,最多用量35U),血浆976.25U,平均(102.76±31.63)U/人(最少用量11.25U,最多用量125U),血小板645U,平均(35.83±27.40)U/人(最少用量10U,最多用量110U),冷沉淀44U,平均(6.29U±2.69)U/人(最少用量3U,最多用量11U),全血209.8U,平均(19.07U±18.16)U/人(最少用量2U,最多用量67U);成分血输注比例为90.3%。结论此次严重烧伤患者的紧急输血救治成分血比例符合卫生部规定,但仍有不尽合理处且全血使用量偏大。
Objective To summarize the components of blood transfusion in hospitalized patients with severe burn in “6.5 · 5” incident and provide the basis for clinical science and rational use of blood. Methods A total of 18 severe cases of burn patients admitted to our hospital from June 5 to July 13, 2009, were retrospectively analyzed. Results During the first aid period of 39 days, 18 severe burn patients were transfused with 298U of erythrocyte suspensions with an average of (16.56 ± 8.36) U / person (minimum 1U, maximum 35U), plasma 976.25U, mean (102.76 ± 31.63) U / (Minimum dose of 11.25U, maximum dose of 125U), platelet 645U, average (35.83 ± 27.40) U / person (minimum dosage 10U, maximum dosage 110U), cryoprecipitate 44U, average 6.29U ± 2.69 U / Dosage 3U, the maximum dosage 11U), whole blood 209.8U, average (19.07U ± 18.16) U / person (minimum dosage 2U, maximum dosage 67U); component blood infusion ratio was 90.3%. Conclusion The proportion of emergency blood transfusion in this severe burn patient meets the requirements of the Ministry of Health. However, there are still some unreasonable treatments and the usage of whole blood is too large.